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10 seconds - CORRECT ANSWERS-A 6 month old infant is unresponsive. You begin
checking for breathing at the same time you check for the infant's pulse. Which is the
maximum time you should spend when trying to simultaneously check for breathing
and palpate the infant's pulse before starting CPR?
Disordered Control of Breathing - CORRECT ANSWERS-A 4 year old child is
brought to the emergency department for seizures. The seizures stopped a few
minutes ago, but the child continues to have slow and irregular respirations. Which
condition is most consistent with your assessment?
blood glucose - CORRECT ANSWERS-An 8 year old child is brought to the
emergency department with a 2 day history of lethargy and polyuria. The child has
new onset rapid, deep, and labored breathing. Which diagnostic test should you order
first?
Reposition the patient, and insert an oral airway - CORRECT ANSWERS-After rectal
administration of diazepam, an 8 year old boy with a history of seizures is not
unresponsive to painful stimuli. His respirations are shallow, at a rate of 10/min. His
Oxygen saturation is 94% on 2L of NC oxygen. On examination, the child is snoring
with poor chest rise and poor air entry bilaterally. What action should you take next?
Provide bag mask ventilation - CORRECT ANSWERS-After rectal administration of
diazepam, an 8 year old boy with a history of seizures is not unresponsive to painful
stimuli. His respirations are shallow, at a rate of 10/min. His Oxygen saturation is
94% on 2L of NC oxygen. On examination, the child is snoring with poor chest rise
and poor air entry bilaterally. After repositioning the patient and inserting an Oral
airway, the patient continues to deteriorate. What next step is the most appropriate?
15:2 - CORRECT ANSWERS-A 6 year old child is found unresponsive, not breathing,
and without a pulse. One health care worker leaves to activate the emergency
response system and get the resuscitation equipment. You and another healthcare
provider immediately begin CPR. Which compression to ventilation ratio do you use?
94%-99% - CORRECT ANSWERS-In post resuscitation management after cardiac
arrest, extra care should be taken to avoid repercussion injury. What should the ideal
oxygen saturation range most likely be?
, "resume compressions" - CORRECT ANSWERS-A 3 year old child is in cardiac
arrest, and high quality CPR is in progress. You are the team leader. The first rhythm
check reveals the rhythm shown here. Defibrillation is attempted with a shock dose of
2 J/kg. After the shock, what should you say to your team members?
2-4 J/kg - CORRECT ANSWERS-A 4 year old child in cardiac arrest is brought to the
emergency department by ambulance. High quality CPR is being performed. The
cardiac monitor displays the rhythm strip shown here. The estimated weight of the
child is 20 kg. What dose range should you use for the initial defibrillation?
40 Joules - CORRECT ANSWERS-A 4 year old child in cardiac arrest is brought to
the emergency department by ambulance. High quality CPR is being performed. The
cardiac monitor displays the rhythm strip shown here. The estimated weight of the
child is 20 kg. As the team leader, how many joules do you tell your team members
to use to perform initial Defib?
Allowing complete chest wall recoil after each compression - CORRECT ANSWERS-
You are the team leader during a pediatric resuscitation attempt. Which action is an
element of high quality CPR?
blood pressure - CORRECT ANSWERS-You are caring for a 3 month old boy with a
2 day history of fever, vomiting and diarrhea. His parents state that he has been
sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood
pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool
extremities. The infant weighs 6 Kg. Which assessment finding indicates that the
infant is in hypotensive shock?
hypovolemic shock - CORRECT ANSWERS-You are caring for a 3 month old boy
with a 2 day history of fever, vomiting and diarrhea. His parents state that he has
been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood
pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool
extremities. The infant weighs 6 Kg. On the basis of this infant's presentation, which
type of shock does this infant have?
20 ml/kg normal saline - CORRECT ANSWERS-You are caring for a 3 month old boy
with a 2 day history of fever, vomiting and diarrhea. His parents state that he has
been sleeping much more. His HR is 190/min, temp is 38.3 degrees C (101 F) blood
pressure is 59/29 mmHg, Resp rate is 70/min and shallow, and oxygen sat is 94%
on 100% oxygen. His capillary refills time is 4-5 seconds, and he has mottled, cool
extremities. The infant weighs 6 Kg. You have decided that this infant needs fluid
resuscitation. How much fluid should you administer?